The gold standard to clarify an acute pathology of the ascending aorta
is transesophageal echocardiography or contrast-enhanced computed tom
ography. Neither of these methods led to the correct finding in our ca
se of an inflammatory aneurysm of the ascending aorta. Both assessment
s resulted in the diagnosis of an acute dissection of the ascending ao
rta. (C) 1998 by The Society of Thoracic Surgeons.